Post insertion complain(removable prosthesis)

C A S E P R ES EN TATIO N

Name : Gul
nawaz
Age : 68
No signeicent
previous
medical
history.

Presenting
complain :

Dont use the denture for atleast two days untill the
swealling and sorness resolves . Use warm saline
rinses and patient recalled for follow up.

 All the pateints, receving removable

partial or complete dentures should

be seen within 24 hours after the
insertion of the prosthesis.
If there are any problems the patient
should be reassured that most
problems can be solved rapidly &
simply.

Com plaints
COMPLAINTS
Pain or discomfort arising from the

hard & soft tissues of the edentulous

ridge Soreness of one or more teeth.
Miscellaneous
a) instabilty of the prosthesis
b) Tongue and cheek biting
c) Speech difficulties
d) Eating difficulties

Soft tissue irritation

Laceration or ulceration -generally

produced by an overextended
denture base.
Complaint soreness/irritation may or
may not be accompanied with
discomfort.
Diagnosis- areas displaying
increased redness or
tranlucency(just before ulceration
starts)

 Degree of overextension can be determined by

visual examination.
With the prosthesis in position,the buccal
tisssues should be manipulated in
downward,outward,upward and anterosuperior
directions.
If the denture border is
overextended,movement of border tissues will
be impeded.
If interfernce with movement and a change in
soft tissue cover are evident,the denture flange
must be reduced.

 Overextension of the denture base on the

lingual aspect of the mandibular edentulous

ridge may be identified and confirmed by
manipulation of the patients tongue.
A forward or lateral thrust of the tongue usually
will disclose the location of overextension.
Another method is disclosing wax but use with
caution.it is usually used to verify or to isolate
an area that is under suspicion following visual
observation.
The use of pip is not generally indicated.

 Dependable method for identifying

an over extension is through the use

of an indelible pencil.

 Border extension is corrected with a

lab bur or an arbor band

Warm saline mouth washes 4hly.
No local anesthetic pt is seen within
24 hrs.

Erythem a(redness)
Genrally caused by roughness of the

denture base by a slight rubbing

movement of the denture base
against the soft tissues .

 Roughness can be corrected by

pressure indicating paste.

 Redness may also be caused by

occlusal discrepencies or
prmaturities.
This lack of occlusal disharmony is
the greatest factor in prosthesis
related discomfort.

O ther irritating factors

Irritation to teeth(identify with

disclosing wax)
Occlusal trauma(identify with
articulating paper)

M ISCELLAN EO U S CO M PLAIN TS
GAGGING CAUSES
POOR ADAPTATION FAILURE TO

MODIFY STOCK TRAY

FAULTY IMPRESSION TECHNIQUE

PRO BLEM S W ITH PH O N ETICS

WHEN PLACED TOO FAR PALATALLY

THE ARTIFICIAL PREMOLARS MAY

INTERFERE WITH SPEECH.

CH EEK O R TO N G U E BITIN G
CHEEK BITE RESULTS IN LINEAR

ULCERATION OF THE BUCCAL

MUCOSA.
CHEEK BITING MAY BE MINIMISED BY
ROUNDING THE MANDIBULAR
BUCCAL CUSPS